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Testing a Communication Assessment Tool for Ethically Sensitive Scenarios: Protocol of a Validation Study.

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Summary

This study developed the Assessment Communication Tool for Ethics (ACT4Ethics) to evaluate communication and ethical judgment in challenging medical situations. ACT4Ethics aims to improve trainee feedback and competency development in ethically sensitive contexts.

Keywords:
assessment toolcommunicationethicsmedical educationneonatology

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Area of Science:

  • Medical Education
  • Bioethics
  • Communication Studies

Background:

  • Existing tools lack specificity in assessing communication, empathy, decision-making, and moral judgment during ethical conflicts.
  • There is a need for assessment instruments that differentiate these core competencies in ethically challenging clinical scenarios.
  • The Assessment Communication Tool for Ethics (ACT4Ethics) was developed to address this gap.

Purpose of the Study:

  • To develop and pilot-test ACT4Ethics, an assessment tool for ethically sensitive scenarios.
  • To measure respect for patient/family beliefs, clinical decision-making demands, and ethical conflict resolution.
  • To provide validity evidence for ACT4Ethics using a neonatal context.

Main Methods:

  • A multiphase project adhering to modern validity principles (content, response process, internal structure, etc.).
  • Two primary steps: rater training and pilot-testing via Objective Structured Clinical Examination simulation.
  • Data collection involves 30 trainees, 15 raters (90 assessments), interrater reliability analysis, and comparison with an existing instrument.

Main Results:

  • The study is projected to take 18 months, with results anticipated by September 2019.
  • Pilot-testing will provide validity evidence for the ACT4Ethics instrument.
  • Analysis will include interrater reliability and comparative assessment with a current tool.

Conclusions:

  • ACT4Ethics will enable clinician-teachers to assess and monitor trainee competency in judgment and communication during ethically sensitive situations.
  • The instrument will facilitate targeted feedback for developing communication, empathy, decision-making, and ethical skills.
  • This tool supports the advancement of essential competencies for navigating complex clinical ethics.